| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,818.38 | $8,317.64 | |
Aetna
| Professional | $660.69 | $1,584.89 | $6,165.95 | |
Martin's Point
| Facility | $724.44 | $2,398.83 | $8,317.64 | |
Martin's Point
| Professional | $794.33 | $1,584.89 | $7,244.36 | |
United
| Facility | $144.54 | $676.08 | $4,265.80 |